Comparison of Endourological and Open Cystolithotomy in the Management of Bladder Stones in Children

Mohammed S. Al-Marhoon, Osama M. Sarhan, Bassam A. Awad, Tamer Helmy, Ahmed Ghali, Mohammed S. Dawaba

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Purpose: Vesical stones are common in children in developing countries. Cystolithotomy is the traditional treatment but a percutaneous approach has been advocated. The aim of this study was to evaluate retrospectively our experience with percutaneous cystolithotomy, cystolitholapaxy and open cystolithotomy in children with bladder stones. Materials and Methods: A total of 107 children (96 boys and 11 girls) with vesical stones were treated at our center between January 1992 and March 2008. Mean patient age at the time of diagnosis was 5 years (range 2 to 15). The patients were stratified retrospectively into 2 groups according to the procedure of stone removal. Group 1 (53 patients) underwent open cystolithotomy, and group 2 (54) underwent endourological treatment via the transurethral route (27) or the suprapubic approach (27). Stone size ranged from 0.7 to 5 cm (mean 2.8). Results: In all cases the stones were removed successfully. Operative time was comparable in both groups. The hospital stay was significantly shorter after endourological procedures compared to open surgery (2.6 vs 4.8 days, p <0.05). In the open surgery group 1 patient had a small intestinal injury that necessitated repair, while in the endourological group 2 patients had urinary extravasation (1 urethral and 1 vesical). There were no early or late complications in group 1. In comparison, 4 patients (7.4%) in group 2 had early complications in the form of persistent urinary leakage from the suprapubic site and 1 patient had a bulbous urethral stricture 1 year after transurethral stone disintegration. Conclusions: Open and endourological management of vesical stones in children is efficient, with a low incidence of complications. Endourological management offers a shorter hospital stay compared to open surgery. However, open cystolithotomy seems to be safer.

Original languageEnglish
Pages (from-to)2684-2688
Number of pages5
JournalJournal of Urology
Volume181
Issue number6
DOIs
Publication statusPublished - Jun 2009

Fingerprint

Urinary Bladder Calculi
Length of Stay
Urethral Stricture
Operative Time
Developing Countries
Urinary Bladder
Incidence
Wounds and Injuries
Therapeutics

Keywords

  • child
  • cystoscopy
  • urinary bladder calculi
  • urologic surgical procedures

ASJC Scopus subject areas

  • Urology

Cite this

Comparison of Endourological and Open Cystolithotomy in the Management of Bladder Stones in Children. / Al-Marhoon, Mohammed S.; Sarhan, Osama M.; Awad, Bassam A.; Helmy, Tamer; Ghali, Ahmed; Dawaba, Mohammed S.

In: Journal of Urology, Vol. 181, No. 6, 06.2009, p. 2684-2688.

Research output: Contribution to journalArticle

Al-Marhoon, Mohammed S. ; Sarhan, Osama M. ; Awad, Bassam A. ; Helmy, Tamer ; Ghali, Ahmed ; Dawaba, Mohammed S. / Comparison of Endourological and Open Cystolithotomy in the Management of Bladder Stones in Children. In: Journal of Urology. 2009 ; Vol. 181, No. 6. pp. 2684-2688.
@article{5c5a75c2e4ac494f8e133cbe74dc81a4,
title = "Comparison of Endourological and Open Cystolithotomy in the Management of Bladder Stones in Children",
abstract = "Purpose: Vesical stones are common in children in developing countries. Cystolithotomy is the traditional treatment but a percutaneous approach has been advocated. The aim of this study was to evaluate retrospectively our experience with percutaneous cystolithotomy, cystolitholapaxy and open cystolithotomy in children with bladder stones. Materials and Methods: A total of 107 children (96 boys and 11 girls) with vesical stones were treated at our center between January 1992 and March 2008. Mean patient age at the time of diagnosis was 5 years (range 2 to 15). The patients were stratified retrospectively into 2 groups according to the procedure of stone removal. Group 1 (53 patients) underwent open cystolithotomy, and group 2 (54) underwent endourological treatment via the transurethral route (27) or the suprapubic approach (27). Stone size ranged from 0.7 to 5 cm (mean 2.8). Results: In all cases the stones were removed successfully. Operative time was comparable in both groups. The hospital stay was significantly shorter after endourological procedures compared to open surgery (2.6 vs 4.8 days, p <0.05). In the open surgery group 1 patient had a small intestinal injury that necessitated repair, while in the endourological group 2 patients had urinary extravasation (1 urethral and 1 vesical). There were no early or late complications in group 1. In comparison, 4 patients (7.4{\%}) in group 2 had early complications in the form of persistent urinary leakage from the suprapubic site and 1 patient had a bulbous urethral stricture 1 year after transurethral stone disintegration. Conclusions: Open and endourological management of vesical stones in children is efficient, with a low incidence of complications. Endourological management offers a shorter hospital stay compared to open surgery. However, open cystolithotomy seems to be safer.",
keywords = "child, cystoscopy, urinary bladder calculi, urologic surgical procedures",
author = "Al-Marhoon, {Mohammed S.} and Sarhan, {Osama M.} and Awad, {Bassam A.} and Tamer Helmy and Ahmed Ghali and Dawaba, {Mohammed S.}",
year = "2009",
month = "6",
doi = "10.1016/j.juro.2009.02.040",
language = "English",
volume = "181",
pages = "2684--2688",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Comparison of Endourological and Open Cystolithotomy in the Management of Bladder Stones in Children

AU - Al-Marhoon, Mohammed S.

AU - Sarhan, Osama M.

AU - Awad, Bassam A.

AU - Helmy, Tamer

AU - Ghali, Ahmed

AU - Dawaba, Mohammed S.

PY - 2009/6

Y1 - 2009/6

N2 - Purpose: Vesical stones are common in children in developing countries. Cystolithotomy is the traditional treatment but a percutaneous approach has been advocated. The aim of this study was to evaluate retrospectively our experience with percutaneous cystolithotomy, cystolitholapaxy and open cystolithotomy in children with bladder stones. Materials and Methods: A total of 107 children (96 boys and 11 girls) with vesical stones were treated at our center between January 1992 and March 2008. Mean patient age at the time of diagnosis was 5 years (range 2 to 15). The patients were stratified retrospectively into 2 groups according to the procedure of stone removal. Group 1 (53 patients) underwent open cystolithotomy, and group 2 (54) underwent endourological treatment via the transurethral route (27) or the suprapubic approach (27). Stone size ranged from 0.7 to 5 cm (mean 2.8). Results: In all cases the stones were removed successfully. Operative time was comparable in both groups. The hospital stay was significantly shorter after endourological procedures compared to open surgery (2.6 vs 4.8 days, p <0.05). In the open surgery group 1 patient had a small intestinal injury that necessitated repair, while in the endourological group 2 patients had urinary extravasation (1 urethral and 1 vesical). There were no early or late complications in group 1. In comparison, 4 patients (7.4%) in group 2 had early complications in the form of persistent urinary leakage from the suprapubic site and 1 patient had a bulbous urethral stricture 1 year after transurethral stone disintegration. Conclusions: Open and endourological management of vesical stones in children is efficient, with a low incidence of complications. Endourological management offers a shorter hospital stay compared to open surgery. However, open cystolithotomy seems to be safer.

AB - Purpose: Vesical stones are common in children in developing countries. Cystolithotomy is the traditional treatment but a percutaneous approach has been advocated. The aim of this study was to evaluate retrospectively our experience with percutaneous cystolithotomy, cystolitholapaxy and open cystolithotomy in children with bladder stones. Materials and Methods: A total of 107 children (96 boys and 11 girls) with vesical stones were treated at our center between January 1992 and March 2008. Mean patient age at the time of diagnosis was 5 years (range 2 to 15). The patients were stratified retrospectively into 2 groups according to the procedure of stone removal. Group 1 (53 patients) underwent open cystolithotomy, and group 2 (54) underwent endourological treatment via the transurethral route (27) or the suprapubic approach (27). Stone size ranged from 0.7 to 5 cm (mean 2.8). Results: In all cases the stones were removed successfully. Operative time was comparable in both groups. The hospital stay was significantly shorter after endourological procedures compared to open surgery (2.6 vs 4.8 days, p <0.05). In the open surgery group 1 patient had a small intestinal injury that necessitated repair, while in the endourological group 2 patients had urinary extravasation (1 urethral and 1 vesical). There were no early or late complications in group 1. In comparison, 4 patients (7.4%) in group 2 had early complications in the form of persistent urinary leakage from the suprapubic site and 1 patient had a bulbous urethral stricture 1 year after transurethral stone disintegration. Conclusions: Open and endourological management of vesical stones in children is efficient, with a low incidence of complications. Endourological management offers a shorter hospital stay compared to open surgery. However, open cystolithotomy seems to be safer.

KW - child

KW - cystoscopy

KW - urinary bladder calculi

KW - urologic surgical procedures

UR - http://www.scopus.com/inward/record.url?scp=67349162625&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67349162625&partnerID=8YFLogxK

U2 - 10.1016/j.juro.2009.02.040

DO - 10.1016/j.juro.2009.02.040

M3 - Article

C2 - 19375100

AN - SCOPUS:67349162625

VL - 181

SP - 2684

EP - 2688

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 6

ER -